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- r <br /> :i <br /> ► .12682 15:32 4540131 i ENVIRONMENTAL F" T-i ; PAGE 82 <br /> URI it prom 'rr' rws� <br /> SAN JOAQUIN COUNTYPUBUC HEALTH,SERVICES . a <br /> EfWr'RONMENTAL HEALTH DMSiON <br /> ~ 3W1 PAST WESER AVENUE,THIRD FLOOR <br /> 440 3TOCKTON CA"202 — A�� <br /> (20121464-UM- FOS•t �, `� no �� <br /> PUBLIC RECORDS RELEASE APPL,C,,',.,i W <br /> APPLICAIn-�'7— -- _ —>3U-VWSWA(10#CY -Tr <br /> • . „ J 1�l 1 .fi 2002 <br /> AOolu�ss Lj�21 ��. _ C• ToryE ul l _ �4-.�.. ..rnlT urA�TN <br /> PHONE � +�3— FACHAe1La f% nronM1l71�FRVICES <br /> .; <br /> TENTAT1140 ArPotntr#ttw DATE TIME . <br /> {P1usi ahrr 7 10 ja twslneae ar a fan�ut,InRlrr) <br /> 9C ED/TE R - REQUEST <br /> �EST P 32 DAYS <br /> � x il()t}l�Exp >'4U ;fed, � >xS <br /> $lt;NATCIRE OF APPLICANT 'f Ok AdAA- DATE <br /> FiLE AMR64S THIS sME EM STAFF uS MY <br /> PROORAM CUMEN7 SEARCIi <br /> ' she <br /> tu4*v�Kr' l�M►�, � <br /> W <br /> 6MRONMENTAL HEALTH 13MSiON FILES <br /> UNDERGROUND TANK(Un CLEANUP SITE(LOP) In HOUSING ABATiiAA6W =1 SOLID WASTE FACILITY <br /> a rnrER CLEAM3P SITE ItaaN�44P) o "M TACUAY O ween WASTE VF-141CLJE <br /> ttt <br /> �q UNDeRdLIND TANK�1R>�IItOVALI ❑ DOd KOME. D blutl"r • . <br /> v HAZArj5eus WASTE CENiERATOR a CHICKEN RANCH CI PtW TP ATMOff PLANT <br /> V 110mo PEAUUTSD FACILITY 0 U01tLh"OTEL = pUMPEN TRUCKNAMUCHEM TO LM <br /> Q 1'ATTOOV80DY pFURCIF[C'a 0 POLI API& Cl U00 USE APPUCAIION 511 <br /> O MEDICAL.WAS-M fACKJTV 5 O �tJC WATER SYSTEM 0 CYrKefl(PLEASE SPECIFY ABOVE) <br /> 1. Utt up to ten arldretent to the apace abwa_ Solea the type{s)Of files ffem tits l"St above by checking <br /> the►appropriate box(es). At least one file tyre MUST be selected_ Fax 209 484-tf1 11 or trs 11 tR <br /> address indicated above.. <br /> 2. EHl3 will notify the applle*nt if any EHO files exist. Art appointment For review will be.confirmed <br /> approximately five business days but no later than tan (10)days after receipt of ApPftauOtf. "a fifes <br /> will be held for a trlaximuen of fhre bwinose day6 for ravlaw. Appointments should be achaduled <br /> accordingly. <br /> 3. A file that is actively being Wadwd on by EHb sniff rrtey not be iMmediataly available for revinnw. A new <br /> eppllC.a<tlon may be subm tted when the file Is avallable. <br /> 4. Any file not raburnedl in the same condition its rolmo3rd will be rsaroartlzby EHD staff at the expenaa <br /> of this applicant. Future fife metates by the same appod applicant may neeluiry a$99.120 ddpdsit prior to retrlew. <br /> 5. 'TENTATIVE appointment dates trust be confirmed with EHD Staff- <br /> Applications recelved after 3:09 prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS .^ <br /> RfVtEWi;Ci YES NO REYtEIA/DATE <br /> roti STZMZ62S XVJ 9b:0T ZO/ZTito <br />